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Individual

JASON J SUH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 344-3091
(360) 344-3082
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5775

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
25341
NV
207RX0202X
Medical Oncology Physician
Primary
MD00034987
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11451923
CAQH
NV
01
25341
NV MD LICENSE
NV
Enumeration date
09/21/2005
Last updated
06/23/2025
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